How much rates vary
Facilitymedian $55 · 10th to 90th $18 to $257Professionalmedian $62 · 10th to 90th $24 to $316
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $158.49 | Facility | None | $35.48 | $69.18 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $107.15 | Professional | None (both parts) | $35.48 | $37.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $12.88 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.44 Typical High $69.18 | Professional | TC · Technical part | $22.39 | $23.44 | $69.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $158.49 Typical High $288.40 | Facility | None | $38.90 | $158.49 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $44.67 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $44.67 | $125.89 | $316.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $14.79 | $36.31 | $112.20 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $95.50 Typical High $295.12 | Professional | TC · Technical part | $33.88 | $95.50 | $295.12 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None (both parts) | $38.02 | $38.02 | $38.90 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $14.45 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $426.58 | Facility | None | $107.15 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $144.54 | Professional | None (both parts) | $57.54 | $61.66 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $16.98 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $43.65 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $46.77 Typical High $72.44 | Facility | None | $17.38 | $46.77 | $72.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $17.38 | $46.77 | $72.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $48.98 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $48.98 | $75.86 | $144.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $15.85 | $25.12 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $58.88 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $407.38 | Facility | None | $69.18 | $91.20 | $407.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.89 Typical High $72.44 | Professional | None (both parts) | $19.05 | $20.89 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $158.49 Typical High $288.40 | Facility | None | $38.90 | $158.49 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $44.67 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $44.67 | $125.89 | $316.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $14.79 | $36.31 | $112.20 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $95.50 Typical High $295.12 | Professional | TC · Technical part | $33.88 | $95.50 | $295.12 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $44.67 | $61.66 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $19.05 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $42.66 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $72.44 | Facility | None | $35.48 | $48.98 | $72.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $23.44 | Facility | 26 · Professional part | $10.00 | $12.88 | $23.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $58.88 | Facility | TC · Technical part | $25.12 | $32.36 | $58.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $36.31 | $36.31 | $43.65 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $17.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 53 · Discontinued | $7.08 | $7.08 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | FX · Film X-ray | $28.18 | $28.18 | $38.02 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 17th of 51
$61.66
AK $132UT $33.11
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.